PCSO Community RICO Request Form

RICO Community Outreach Fund Application

The Pinal County Sheriff’s Office may provide funding to non-profit organizations (IRS 501 (c)(3) status) to support programs that: assist victims of criminal racketeering offenses listed in A.R.S. § 13-2301(D)(4); prevent substance abuse or gang activity in the community; and/or educate the community on substance abuse or gang activity. Funding for these programs comes from funds recovered from criminals or criminal activity under Arizona Anti-Racketeering enforcement actions by our Asset Recovery Bureau, and these funds are subject to certain State and Federal program requirements.By law, the Pinal County Sheriff’s Office is only authorized to disperse $25,000 dollars per year towards community related projects. Understanding this allows each organization the insight to know that while PCSO will do our best to help as many organizations as we can, we are limited each year by these caps.
Agency
Name of Program
Does your organization have 501c3 or 501c4 status? If "Yes," you will be asked to upload documentation at the bottom of this form.

YesNo
Contact Person

First NameLast Name
Phone Number

Area CodePhone Number
Email Address
example@example.com
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Physical Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Short Description of Program:
Goals and expected outcomes:
Performance Measures that will be used to assess the final outcome:
Age range of program participants
Date(s) of program
Amount of Funding Requested
Programs in which staff or volunteers interact with juveniles must include information regarding the process in place for hiring staff or screening volunteers.
Programs offered by religious organizations must include a statement that the requested funds will be used only to support the non-sectarian activities detailed in the proposal.
If awarded RICO funds, your organization will be reimbursed for the specifically approved expenditure(s). Please upload in the space below an itemized budget in sufficient detail to provide information regarding how RICO money will be spent, including all receipts relating to items purchased for the program.

Click this box to indicate you understand and have uploaded the required documents.
Please upload a cover letter below detailing your needs and how RICO funds will support substance abuse or gang activity prevention programs.

Click this box to indicate you understand and have uploaded the required documents.
Please attach supporting documents here, to include: a cover letter, an itemized budget and all supporting receipts, proof of 501c3 status if applicable, and a W-9 tax form.

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Questions? Please contact lauren.reimer@pinal.gov
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RICO Community Outreach Fund Application